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Time for a new beginning....

I'm not sure I have the answer to your question just yet but I think it's because I've been on oral meds for about 14 years now and the last 3 years glucose readings have been steadily rising and I've been very ill.

I only discovered low carbing since joining here, a few weeks ago, it's not easy but I'm working on it. :)

Going onto insulin....Its a trial... I did discuss with the Dr, that hopefully to avoid putting on more weight, I inject low dose of insulin and stick to healthy lifestyle of eating and excercise to reduce the weight.... I don't know if this'll work...Only time will tell.

Also I'm so desperate to come off gliclazide as it's causing terrible stomach problems
Have you read Bernstein's book? (See title in my signature)

He has wonderful results combining low carbing and small amounts of insulin or other meds, precisely tailored to the individual. It's a great book, and very inspirational.
 
Have you read Bernstein's book? (See title in my signature)

He has wonderful results combining low carbing and small amounts of insulin or other meds, precisely tailored to the individual. It's a great book, and very inspirational.

That's good to know. I haven't read the book but I've read some of the positive reviews on Amazon ... I might consider ordering it.
 
I think that the drug she mentioned was probably http://en.wikipedia.org/wiki/Dapagliflozin
The kidneys have a mechanism that normally reabsorbs glucose and prevents it being excreted in the urine It works unless the concentration of glucose is very high. (basically the body doesn't normally want to get rid of a valuable fuel)
This drug blocks this mechanism so allowing more glucose to be excreted in this way

Yes that's the one! it's Dapagilflozin

Wonder if anyone on here is taking it?
 
Thanks so much cold ethyl...

Go to the icon that looks like an envelope top right hand corner of screen and hover - click on start new conversation then pop the name you want in box and follow rest of onscreen instructions. at least that's what I do..
 
Yes I most certainly am!! It's been fantastic for me!!

Wow! Well done Kimbo! I've just noticed from your signature, you're doing amazingly well with lchf :happy:

Is dapagilflozin the only medication that you're taking for diabetes?
 
Well finally saw the DN yesterday and as soon as I sat down she said, I've discussed your medication with another Dr and we both agree you should continue with metformin and increase the current gliclazide to max 4 tablets daily and start taking twice daily injections of byetta!!! :eek::(:arghh:

I reminded her of how unwell I've been since May when I started 2 tablets of gliclazide and I'm desperate to come off this tablet completely. She insisted I have to stay on them. I have constant nausea and bloating, I reminded her how I was violently vomiting a few months ago. Gliclazide has taken away my quality of life. :(

DN wasn't budging so she phoned another Dr who reluctantly suggested I change to the slow release gliclazide. They said they don't usually prescribe this because it's expensive!! :banghead:

So tomorrow I Start on 2 x 30 mg SR. gliclazide and then she wants me to increase to maximum 4 daily in few weeks time. Errrmm I don't think so!! :rolleyes:

After much debating I told her I'm not starting any of the 3 other injections she suggested they are Bydureon, Lyxumia and Byetta. The side effects are awful.

I said I'd rather start insulin injections but she said you'll put on more weight.
So she's prescribed Forxiga 10mg, a new drug also known as Dapagilflozin... Start this tomorrow, it's supposed to help with lowering blood sugars and suppress appetite.... I think...

Next review is 22 Dec, if stomach is still bubbling... :yuck: I will ask to come of gliclazide completely. Even though DN is adamant I have to stay on it.

Any advice and tips much appreciated... Thanks x
 
Well finally saw the DN yesterday and as soon as I sat down she said, I've discussed your medication with another Dr and we both agree you should continue with metformin and increase the current gliclazide to max 4 tablets daily and start taking twice daily injections of byetta!!! :eek::(:arghh:

I reminded her of how unwell I've been since May when I started 2 tablets of gliclazide and I'm desperate to come off this tablet completely. She insisted I have to stay on them. I have constant nausea and bloating, I reminded her how I was violently vomiting a few months ago. Gliclazide has taken away my quality of life. :(

DN wasn't budging so she phoned another Dr who reluctantly suggested I change to the slow release gliclazide. They said they don't usually prescribe this because it's expensive!! :banghead:

So tomorrow I Start on 2 x 30 mg SR. gliclazide and then she wants me to increase to maximum 4 daily in few weeks time. Errrmm I don't think so!! :rolleyes:

After much debating I told her I'm not starting any of the 3 other injections she suggested they are Bydureon, Lyxumia and Byetta. The side effects are awful.

I said I'd rather start insulin injections but she said you'll put on more weight.
So she's prescribed Forxiga 10mg, a new drug also known as Dapagilflozin... Start this tomorrow, it's supposed to help with lowering blood sugars and suppress appetite.... I think...

Next review is 22 Dec, if stomach is still bubbling... :yuck: I will ask to come of gliclazide completely. Even though DN is adamant I have to stay on it.

Any advice and tips much appreciated... Thanks x

Nightmare.
I'm so sorry you had such a difficult time.

I can't offer any advice on medication, I'm afraid.
But I can totally sympathise with trying to get doctors and nurses to listen when they think they know what is best for you.

Sometimes they do, of course, but not always.
:(
 
Is there not a nice GP within the practice that you could make an appointment with just to discuss your issues? It's all very well them prescribing a host of standard regime drugs since they aren't the ones taking them. You do have to balance quality of life with improved levels and try and accommodate both. I'd give low carbing a serious stab and see what effect that has as personally I'd not want to be rushing onto insulin just yet if diet can help. I know that several folk on here take Forxiga though it is meant as a substitute for the likes of Glicazide according to the NICE guidelines on the drug on the main website here. Hope the SR helps - I know how you feel with the side effects of drugs as I'm currently fed up with just the Metformin.
 
Is there not a nice GP within the practice that you could make an appointment with just to discuss your issues? It's all very well them prescribing a host of standard regime drugs since they aren't the ones taking them. You do have to balance quality of life with improved levels and try and accommodate both. I'd give low carbing a serious stab and see what effect that has as personally I'd not want to be rushing onto insulin just yet if diet can help. I know that several folk on here take Forxiga though it is meant as a substitute for the likes of Glicazide according to the NICE guidelines on the drug on the main website here. Hope the SR helps - I know how you feel with the side effects of drugs as I'm currently fed up with just the Metformin.

The lovely Dr whose been seeing me for my stomach problems wasn't at the surgery yesterday, Had she been there it may have been a different outcome. But all's not lost, the next available appointment with Dr is on 22 Dec @ 9.30 am and with DN same afternoon.

The last couple of weeks, I've introduced lchf but not 100% for all meals :shy: But instead of losing weight, I've actually put on 2lbs :(:(
 
The lovely Dr whose been seeing me for my stomach problems wasn't at the surgery yesterday, Had she been there it may have been a different outcome. But all's not lost, the next available appointment with Dr is on 22 Dec @ 9.30 am and with DN same afternoon.

The last couple of weeks, I've introduced lchf but not 100% for all meals :shy: But instead of losing weight, I've actually put on 2lbs :(:(
are you overdoing the fat bit? I know the diet doctor site and others say unlimited amounts but I don't think you can do that if you are overweight with poor appetite control. I know I could eat a pound of cheese if I let myself and now way would I lose weight then. Maybe start posting what you eat on the what have you eaten thread and we could help. The one thing I would say is you can't high fat and keep the carbs as that is a diet disaster.
 
I've been on insulin for almost a year now. My initial HbA1c was 112 mmol/l and was told I'd probably be a candidate for insulin therapy. I was a bit sceptical about low carbs as my dietician said I needed them. I did notice I didn't get spikes when I avoided them and now keep carbs to a minimum and have lost some weight.
 
I think (no experience of this, so please check this with insulin users!) that using insulin can result in weight gain. Something to do with proportion of insulin dose to food, and the insulin enabling fat uptake to the cells.

And when we eat low carb, we tend to need/produce less insulin.

Is it possible, that your dosing needs more precise adjustment, while eating LC?
 
are you overdoing the fat bit? I know the diet doctor site and others say unlimited amounts but I don't think you can do that if you are overweight with poor appetite control. I know I could eat a pound of cheese if I let myself and now way would I lose weight then. Maybe start posting what you eat on the what have you eaten thread and we could help. The one thing I would say is you can't high fat and keep the carbs as that is a diet disaster.

I tried posting this last night but just couldn't log onto the site.... Felt like my lifeline had been turned off :eek:

Oops!! I have upped the fats and not been strictly low carbing as I should be :oops:.
Thanks for explaining the above Ethyl, it makes perfect sense.... I've sooo much to learn.
 
I know I'm a bit late catching up on this, but one thing I noticed is you mentioned having a 'tiger cob'. I love tiger bread but since I started testing I have found it sends me sky high even though I can eat normal white bread in small quantities with out problems. I don't know what is in the tiger glace but it is not good for me, it might be worth checking for yourself.
 
I've been on insulin for almost a year now. My initial HbA1c was 112 mmol/l and was told I'd probably be a candidate for insulin therapy. I was a bit sceptical about low carbs as my dietician said I needed them. I did notice I didn't get spikes when I avoided them and now keep carbs to a minimum and have lost some weight.

Hello Eddie, firstly well done on lowering your hba1c and losing weight whilst on insulin :) that's really great to hear. Well Done!

I did say to the DN, if these new tablets still keep giving me stomach problems, I'd be happy to come off them And be really strict in lowering the carbs. She just looked at me... Like what nonsense my dear.... You need lots of carbs!!! :wacky: :banghead:
I told her I've joined this site and I speak with Real diabetics, who are actually lowering carbs, seeing great results and some have even come off the meds. The shocked look on her face was worth it.. Lol
 
I know I'm a bit late catching up on this, but one thing I noticed is you mentioned having a 'tiger cob'. I love tiger bread but since I started testing I have found it sends me sky high even though I can eat normal white bread in small quantities with out problems. I don't know what is in the tiger glace but it is not good for me, it might be worth checking for yourself.

Yes that was a rare treat, but a big mistake as I'd recently given up bread and felt better for doing so. The emotional binge monster took over that day :(

I agree they taste nice but maybe the cobs are high on the glycemic index/ load. Not sure but will check.

I use to be able to enjoy 2 slices of white or wholemeal or granary bread without spiking.... But now just the aroma of freshly baked bread in the supermarkets sends my sugars high!!! Lol
 
The scent of freshly baked bread is really evil, if the restaurant is also doing the breakfast bacon at the same time I have a real problem keeping my willpower strong.
 
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